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White-coat hypertension and normotension in the League of Hypertension of the Hospital das Clínicas, FMUSP: prevalence, clinical and demographic characteristics

Segre, Carlos A ; Ueno, Rubens K ; Warde, Karim R J ; Accorsi, Tarso A D ; Miname, Márcio H ; Chi, Chang K ; Pierin, Angela M G ; Mion Júnior, Décimo

Arquivos brasileiros de cardiologia, 2003-02, Vol.80 (2), p.117-126 [Periódico revisado por pares]

Brazil

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  • Título:
    White-coat hypertension and normotension in the League of Hypertension of the Hospital das Clínicas, FMUSP: prevalence, clinical and demographic characteristics
  • Autor: Segre, Carlos A ; Ueno, Rubens K ; Warde, Karim R J ; Accorsi, Tarso A D ; Miname, Márcio H ; Chi, Chang K ; Pierin, Angela M G ; Mion Júnior, Décimo
  • Assuntos: Blood Pressure ; Blood Pressure Determination - methods ; Brazil - epidemiology ; Female ; Humans ; Hypertension - diagnosis ; Hypertension - drug therapy ; Hypertension - epidemiology ; Male ; Middle Aged ; Multivariate Analysis ; Office Visits ; Prevalence ; Retrospective Studies
  • É parte de: Arquivos brasileiros de cardiologia, 2003-02, Vol.80 (2), p.117-126
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: To assess the prevalence of white-coat normortension, white-coat hypertension, and white-coat effect. We assessed 670 medical records of patients from the League of Hypertension of the Hospital das Clínicas of the Medical School of the University of S o Paulo. White-coat hypertension (blood pressure at the medical office: mean of 3 measurements with the oscillometric device > or = 140 or > or = 90 mmHg, or both, and ambulatory blood pressure monitoring mean during wakefulness < 135/85) and white-coat normotension (office blood pressure < 140/90 and blood pressure during wakefulness on ambulatory blood pressure monitoring > or = 135/85) were analyzed in 183 patients taking no medication. The white-coat effect (difference between office and ambulatory blood pressure > 20 mmHg for systolic and 10 mmHg for diastolic) was analyzed in 487 patients on treatment, 374 of whom underwent multivariate analysis to identify the variables that better explain the white-coat effect. Prevalence of white-coat normotension was 12%, prevalence of white-coat hypertension was 20%, and prevalence of the white-coat effect was 27%. A significant correlation (p<0.05) was observed between white-coat hypertension and familial history of hypertension, and between the white-coat effect and sex, severity of the office diastolic blood pressure, and thickness of left ventricular posterior wall. White-coat hypertension, white-coat normotension, and white-coat effect should be considered in the diagnosis of hypertension.
  • Editor: Brazil
  • Idioma: Inglês;Português

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